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NPI Code Detail

MEDICARE: MR. KYLE STEVEN DOLPH LCMHCA

MEDICARE: MR. KYLE STEVEN DOLPH LCMHCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorA21044NC

General Provider Information

NPI Number : 1376495846
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KYLE STEVEN DOLPH LCMHCA
Provider Business Mailing Address
First Line : 214 FAIRWAY DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28305-5502
Country : US
Telephone Number : 910-491-1901
Fax Number : 910-221-8294
Provider Business Practice Location Address
First Line : 214 FAIRWAY DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28305-5502
Country : US
Telephone Number : 910-491-1901
Fax Number : 910-221-8294
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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